DR. SHAWN KEVIN WILSON DDS NPI 1811337553

NPI Information

NPI: 1811337553
Provider Name: DR. SHAWN KEVIN WILSON, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
3110 CHURN CREEK RD
REDDING, CA
ZIP 96002
Phone: (530) 222-0515
Get Directions

DR. Shawn Kevin Wilson, DDS is a general practice dentist in Redding, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Shawn Kevin Wilson, DDS NPI is 1811337553. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3110 CHURN CREEK RD
REDDING, CA
ZIP 96002
Phone: (530) 222-0515
Fax: (530) 222-1623

The enumeration date for this NPI number is 6/26/2013 and was last updated on 10/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	032518	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1811337553	OTHER	CALIFORNIA	INDIVIDUAL NPI
2	1477636280	OTHER	CALIFORNIA	CORPORATE NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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